Is deflation before explantation a good option?

I have performed this on occasion for a varietuy of reasons including patients who are undecided about implant removal and/or replacement with weight gain or if they were uncertain about the implant volume and its role in the size of the currentl breast or have any concerns about their postoperative apperance. Generally speaking you will see nice contraction within two weeks. I think this sounds like a great plan!

Good day! Generally after explantation, the shape and size of the breast will be unpredictable. Result varies between patients and it will largely depend upon their age, duration and size of the implant, or previous state of their breasts like existing anatomy, deformity, previous surgeries, underlying personal and family medical conditions, nicotine use, pregnancy and other factors. Deflation prior to explantation gives the skin and muscles ample time to adjust before a major change. There are options available such as a lift or a fat transfer, if you are worried about the explantation result. Do not hesitate to contact your surgeon about options designed for your needs and discuss realistic goals and expectations. Best of luck! #RealSelf100

In some specific cases, it does make sense to pop the implants and deflate them.  Of course, they need to be saline.  The benefit of doing this is that it will help you decide whether to simply have the implants removed because you will know what you will look like after a simple removal, which can subsequently be doe under local anesthesia.

Deflating the implants is commonly done to assist with implant removal and prevent longer incisions from being used.  The FDA has found no increased risk with leakage from silicone and saline implants.

If you wish to have the implants removed and have the best shape and contour of your breasts after, i recommend explantation with a lift at the same time.  In properly selected patients,  this is safe and effective.  Deflation first, is not necessary and would not add anything to the final result.  There should be no concern about leaking of the saline from the implants.  This saline is the same that is in IV fluid and your body will simply absorb it.